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Вопросы вирусологии. 2019; 64: 262-267

Обзор актуальных вопросов диагностики и профилактики гемоконтактных нозокомиальных вирусных инфекций

Акимкин В. Г., Алимов А. В., Захарова Ю. А., Болгарова Е. В., Питерский М. В., Сисин Е. И.

https://doi.org/10.36233/0507-4088-2019-64-6-262-267

Аннотация

Обеспечение инфекционной безопасности в трансплантологии и трансфузиологии является актуальной и значимой задачей, достижение которой зависит от качества медицинского отбора доноров и лабораторной диагностики получаемой крови. В настоящее время известно большое количество вирусов, передающихся гемоконтактным путём, вместе с тем в России при обследовании пациентов в Службе крови перечень тестируемых возбудителей вирусных инфекций ограничивается тремя: ВИЧ, вирусами гепатита С и В.
В обзорной статье на основании данных зарубежной научной литературы показана необходимость внедрения дополнительных лабораторных тестов на возбудители актуальных гемоконтактных вирусных инфекций, связанных с оказанием медицинской помощи, с использованием риск-ориентированного подхода: на конкретных территориях и в группах высокого риска. Представлена методология определения количественного показателя остаточного риска трансфузионного инфицирования для оценки эффективности обеспечения вирусологической безопасности в Службе крови.


Список литературы

1. Moustafa A., Xie C., Kirkness E., Biggs W., Wong E., Turpaz Y., et al. The blood DNA virome in 8,000 humans. PLoS Pathog. 2017; 13(3): e1006292. Doi: https://doi.org/10.1371/journal.ppat.1006292

2. Smith D.B., Becher P., Bukh J., Gould E.A., Meyers G., Monath T., et al. Proposed update to the taxonomy of the genera Hepacivirus and Pegivirus within the Flaviviridae family. J. Gen. Virol. 2016; 97(11): 2894-907. Doi: https://doi.org/10.1099/jgv.0.000612

3. Stapleton J.T., Foung S., Muerhoff A.S., Bukh J., Simmonds P. The GB viruses: a review and proposed classification of GBV-A, GBV-C (HGV), and GBV-D in genus Pegivirus within the family Flaviviridae. J. Gen. Virol. 2011; 92 (Pt. 2): 233-46. Doi: https://doi.org/10.1099/vir.0.027490-0

4. Genus: Pegivirus – Flaviviridae – Positive sense RNA viruses. International Committee on Taxonomy of Viruses. Available at: http://talk.ictvonline.org/ictv-reports/ictv_online_report/positivesense-rna-viruses/w/flaviviridae/363/genus-pegivirus/

5. Berg M.G., Lee D., Coller K., Frankel M., Aronsohn A., Cheng K., et al. Discovery of a novel human Pegivirus in blood associated with Hepatitis C virus co-Infection. PLoS Pathog. 2015; 11(12): e1005325. Doi: https://doi.org/10.1371/journal.ppat.1005325

6. Pisani G., Cristiano K., Pupella S., Liumbruno G.M. West Nile virus in Europe and safety of blood transfusion. Transfus. Med. Hemother. 2016; 43(3): 158-67. Doi: https://doi.org/10.1159/000446219

7. Goodnough L.T., Marques M.B. Zika virus and patient blood management. Anesth. Analg. 2017; 124(1): 282-9. Doi: https://doi.org/10.1213/ANE.0000000000001770

8. Marano G., Pupella S., Vaglio S., Liumbruno G.M., Grazzini G. Zika virus and the never-ending story of emerging pathogens and transfusion medicine. Blood Transfus. 2016; 14(2): 95-100. Doi: https://doi.org/10.2450/2015.0066-15

9. Pozzetto B., Memmi M., Garraud O. Is transfusion-transmitted dengue fever a potential public health threat? World J. Virol. 2015; 4(2): 113-23. Doi: https://doi.org/10.5501/wjv.v4.i2.113

10. Domanovic D., Tedder R., Blümel J., Zaaijer H., Gallian P., Niederhauser C., et al. Hepatitis E and blood donation safety in selected European countries: a shift to screening? Euro Surveill. 2017; 22(16): pii: 30514. Doi: https://doi.org/10.2807/1560-7917.ES.2017.22.16.30514

11. Nishizawa T., Okamoto H., Konishi K., Yoshizawa H., Miyakawa Y., Mayumi M. A novel DNA virus (TTV) associated with elevated transaminase levels in posttransfusion hepatitis of unknown etiology. Biochem. Biophys. Res. Commun. 1997; 241(1): 92-7. Doi: https://doi.org/10.1006/bbrc.1997.7765

12. Poovorawan Y., Tangkijvanich P., Theamboonlers A., Hirsch P. Transfusion transmissible virus TTV and its putative role in the etiology of liver disease. Hepatogastroenterology. 2001; 48(37): 256-60.

13. Ali S., Fevery J., Peerlinck K., Verslype C., Schelstraete R., Gyselinck F., et al. TTV infection and its relation to serum transaminases in apparently healthy blood donors and in patients with clotting disorders who have been investigated previously for hepatitis C virus and GBV-C/HGV infection in Belgium. J. Med. Virol. 2002; 66(4): 561-6.

14. Parvoviridae – ssDNA viruses (2011) – ssDNA viruses (2011). International Committee on Taxonomy of Viruses. Available at: http://talk.ictvonline.org/ictv-reports/ictv_9th_report/ssdna-viruses-2011/w/ssdna_viruses/151/parvoviridae/

15. Nagaharu K., Sugimoto Y., Hoshi Y., Yamaguchi T., Ito R., Matsubayashi K., et al. Persistent symptomatic parvovirus B19 infection with severe thrombocytopenia transmitted by red blood cell transfusion containing low parvovirus B19 DNA levels. Transfusion. 2017; 57(6): 1414-8. Doi: https://doi.org/10.1111/trf.14088

16. Jones M.S., Kapoor A., Lukashov V.V., Simmonds P., Hecht F., Delwart E. New DNA viruses identified in patients with acute viral infection syndrome. J. Virol. 2005; 79(13): 8230-6. Doi: https://doi.org/10.1128/JVI.79.13.8230-8236.2005

17. Sharp C.P., Lail A., Donfield S., Gomperts E.D., Simmonds P. Virologic and clinical features of primary infection with human parvovirus 4 in subjects with hemophilia: frequent transmission by virally inactivated clotting factor concentrates. Transfusion. 2012; 52(7): 1482-9. Doi: https://doi.org/10.1111 / j.1537-2995.2011.03420.x

18. Anelloviridae – ssDNA viruses (2011) – ssDNA viruses (2011). International Committee on Taxonomy of Viruses. Available at: http://talk.ictvonline.org/ictv-reports/ictv_9th_report/ssdna-viruses-2011/w/ssdna_viruses/139/anelloviridae/

19. Soldan K., Davison K. How to assess risk: prospective studies and calculations. In: Barbara J.A.J., Regan F.A.M., Contreras M.C., eds. Transfusion Microbiology. Cambridge: Cambridge University Press; 2008: 330-40.

Problems of Virology. 2019; 64: 262-267

Review of current issues of diagnosis and prevention of blood-borne nosocomial viral infections

Akimkin V. G., Alimov A. V., Zakharova Yu. A., Bolgarova E. V., Piterskiy M. V., Sisin E. I.

https://doi.org/10.36233/0507-4088-2019-64-6-262-267

Abstract

Provision of infection security in transplantology and transfusiology is a challenging and significant problem that depends on the quality of medical donor selection and laboratory diagnosis of the blood collected. At present, a large number of blood-borne viruses are known; nevertheless, in Russia, the list of viral agents to be tested during the examination by the blood service boils down to three ones: HIV, hepatitis C and hepatitis B viruses.
The review article demonstrates the need for implementation of additional laboratory tests for the agents of the priority healthcare-associated blood-borne infections (HAI) using a risk-based approach, i.e., on specified sites and in high risk groups. It presents a methodology for determination of a quantitative blood-induced infection residual risk (BIRR) index to be used while evaluating the efficiency of viral security provision in the blood service.


References

1. Moustafa A., Xie C., Kirkness E., Biggs W., Wong E., Turpaz Y., et al. The blood DNA virome in 8,000 humans. PLoS Pathog. 2017; 13(3): e1006292. Doi: https://doi.org/10.1371/journal.ppat.1006292

2. Smith D.B., Becher P., Bukh J., Gould E.A., Meyers G., Monath T., et al. Proposed update to the taxonomy of the genera Hepacivirus and Pegivirus within the Flaviviridae family. J. Gen. Virol. 2016; 97(11): 2894-907. Doi: https://doi.org/10.1099/jgv.0.000612

3. Stapleton J.T., Foung S., Muerhoff A.S., Bukh J., Simmonds P. The GB viruses: a review and proposed classification of GBV-A, GBV-C (HGV), and GBV-D in genus Pegivirus within the family Flaviviridae. J. Gen. Virol. 2011; 92 (Pt. 2): 233-46. Doi: https://doi.org/10.1099/vir.0.027490-0

4. Genus: Pegivirus – Flaviviridae – Positive sense RNA viruses. International Committee on Taxonomy of Viruses. Available at: http://talk.ictvonline.org/ictv-reports/ictv_online_report/positivesense-rna-viruses/w/flaviviridae/363/genus-pegivirus/

5. Berg M.G., Lee D., Coller K., Frankel M., Aronsohn A., Cheng K., et al. Discovery of a novel human Pegivirus in blood associated with Hepatitis C virus co-Infection. PLoS Pathog. 2015; 11(12): e1005325. Doi: https://doi.org/10.1371/journal.ppat.1005325

6. Pisani G., Cristiano K., Pupella S., Liumbruno G.M. West Nile virus in Europe and safety of blood transfusion. Transfus. Med. Hemother. 2016; 43(3): 158-67. Doi: https://doi.org/10.1159/000446219

7. Goodnough L.T., Marques M.B. Zika virus and patient blood management. Anesth. Analg. 2017; 124(1): 282-9. Doi: https://doi.org/10.1213/ANE.0000000000001770

8. Marano G., Pupella S., Vaglio S., Liumbruno G.M., Grazzini G. Zika virus and the never-ending story of emerging pathogens and transfusion medicine. Blood Transfus. 2016; 14(2): 95-100. Doi: https://doi.org/10.2450/2015.0066-15

9. Pozzetto B., Memmi M., Garraud O. Is transfusion-transmitted dengue fever a potential public health threat? World J. Virol. 2015; 4(2): 113-23. Doi: https://doi.org/10.5501/wjv.v4.i2.113

10. Domanovic D., Tedder R., Blümel J., Zaaijer H., Gallian P., Niederhauser C., et al. Hepatitis E and blood donation safety in selected European countries: a shift to screening? Euro Surveill. 2017; 22(16): pii: 30514. Doi: https://doi.org/10.2807/1560-7917.ES.2017.22.16.30514

11. Nishizawa T., Okamoto H., Konishi K., Yoshizawa H., Miyakawa Y., Mayumi M. A novel DNA virus (TTV) associated with elevated transaminase levels in posttransfusion hepatitis of unknown etiology. Biochem. Biophys. Res. Commun. 1997; 241(1): 92-7. Doi: https://doi.org/10.1006/bbrc.1997.7765

12. Poovorawan Y., Tangkijvanich P., Theamboonlers A., Hirsch P. Transfusion transmissible virus TTV and its putative role in the etiology of liver disease. Hepatogastroenterology. 2001; 48(37): 256-60.

13. Ali S., Fevery J., Peerlinck K., Verslype C., Schelstraete R., Gyselinck F., et al. TTV infection and its relation to serum transaminases in apparently healthy blood donors and in patients with clotting disorders who have been investigated previously for hepatitis C virus and GBV-C/HGV infection in Belgium. J. Med. Virol. 2002; 66(4): 561-6.

14. Parvoviridae – ssDNA viruses (2011) – ssDNA viruses (2011). International Committee on Taxonomy of Viruses. Available at: http://talk.ictvonline.org/ictv-reports/ictv_9th_report/ssdna-viruses-2011/w/ssdna_viruses/151/parvoviridae/

15. Nagaharu K., Sugimoto Y., Hoshi Y., Yamaguchi T., Ito R., Matsubayashi K., et al. Persistent symptomatic parvovirus B19 infection with severe thrombocytopenia transmitted by red blood cell transfusion containing low parvovirus B19 DNA levels. Transfusion. 2017; 57(6): 1414-8. Doi: https://doi.org/10.1111/trf.14088

16. Jones M.S., Kapoor A., Lukashov V.V., Simmonds P., Hecht F., Delwart E. New DNA viruses identified in patients with acute viral infection syndrome. J. Virol. 2005; 79(13): 8230-6. Doi: https://doi.org/10.1128/JVI.79.13.8230-8236.2005

17. Sharp C.P., Lail A., Donfield S., Gomperts E.D., Simmonds P. Virologic and clinical features of primary infection with human parvovirus 4 in subjects with hemophilia: frequent transmission by virally inactivated clotting factor concentrates. Transfusion. 2012; 52(7): 1482-9. Doi: https://doi.org/10.1111 / j.1537-2995.2011.03420.x

18. Anelloviridae – ssDNA viruses (2011) – ssDNA viruses (2011). International Committee on Taxonomy of Viruses. Available at: http://talk.ictvonline.org/ictv-reports/ictv_9th_report/ssdna-viruses-2011/w/ssdna_viruses/139/anelloviridae/

19. Soldan K., Davison K. How to assess risk: prospective studies and calculations. In: Barbara J.A.J., Regan F.A.M., Contreras M.C., eds. Transfusion Microbiology. Cambridge: Cambridge University Press; 2008: 330-40.